Michael Anthony Rodevich in San Francisco - Clinical Neuropsychologist

Michael Anthony Rodevich - NPI 1740320852

Michael Anthony Rodevich is a Clinical Neuropsychologist in San Francisco, California. Michael Anthony Rodevich practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Michael Anthony Rodevich is 1740320852. The last update date is 2011-11-01.

Michael Anthony Rodevich's current location address is 375 Laguna Honda Blvd, San Francisco, California. You can contact this provider via phone number 4157594561 and fax number 4157594587. The mailing address for Michael Anthony Rodevich is 375 Laguna Honda Blvd, San Francisco, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Anthony Rodevich
Address 375 Laguna Honda Blvd, San Francisco, California
Phone Number 4157594561
Fax Number 4157594587
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1740320852
Provider Enumeration Date 2007-02-07
Last Updated Date 2011-11-01

Provider Mailing Address Detail

Address 375 Laguna Honda Blvd
City San Francisco
State California (CA)
Post Code 941161411
Phone Number 4157594561
Fax Number 4157594587

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PSY14238
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY14238 CA --

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FAQs about Michael Anthony Rodevich

What is the unique identification code assigned to Michael Anthony Rodevich by the Centers for Medicare & Medicaid Services?

The Michael Anthony Rodevich has been issued the NPI (National Provider Identifier) 1740320852. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michael Anthony Rodevich is located?

The Michael Anthony Rodevich is situated at the following address: 375 Laguna Honda Blvd, San Francisco, CA, 941161411.

What is Michael Anthony Rodevich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Anthony Rodevich is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.

On what date did the Michael Anthony Rodevich receive its 1740320852 assignment from the Centers for Medicare & Medicaid Services?

The Michael Anthony Rodevich was assigned its 1740320852 by the Centers for Medicare & Medicaid Services on 2007-02-07.

When was the information pertaining to Michael Anthony Rodevich most recently updated or revised?

The details related to Michael Anthony Rodevich, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-01.

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